Role of Durable Mechanical Circulatory Support for the Management of Advanced Heart Failure

被引：6

作者：

Waqas, Muhammed ^{[1
]}

Cowger, Jennifer A. ^{[1
]}

机构：

[1] St Vincent Heart Ctr Indiana, Indianapolis, IN 46260 USA

来源：

HEART FAILURE CLINICS | 2016年 / 12卷 / 03期

关键词：

Mechanical circulatory support; Outcomes; Advanced heart failure management; VENTRICULAR ASSIST DEVICE; LONG-TERM SUPPORT; CONTINUOUS-FLOW; RISK SCORE; INTERAGENCY REGISTRY; DESTINATION THERAPY; RENAL-FUNCTION; TRANSPLANTATION; IMPLANTATION; THROMBOSIS;

D O I：

10.1016/j.hfc.2016.03.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the past decade, there has been a dramatic evolution in the field of mechanical circulatory support. Device-related complications continue to burden the field and will be a major obstacle for achieving therapeutic noninferiority compared with cardiac transplant. Selected patients with end-stage systolic heart failure enjoy an average survival of 80% at 1 year post-ventricular assist device implant, vastly better than survival rates of 25% to 50% on chronic inotrope support. Early patient referral to an advanced heart failure specialist before the onset of significant end-organ dysfunction and malnutrition is critical for achieving good operative outcomes.

引用

页码：399 / +

页数：12

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